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Related Experiment Video

Updated: Apr 19, 2026

Low-Cost Single-Port LoCoSP Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
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[Thoracolaparoscopic simultaneous operations on esophagus].

I E Khat'kov, R E Izrailov, S A Domrachev

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    |December 9, 2014
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    Summary
    This summary is machine-generated.

    Thoracolaparoscopic esophagectomy offers precise esophageal and stomach preparation with minimal trauma for benign and malignant conditions. This minimally invasive approach yields results comparable to open surgery, requiring experienced teams.

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    Area of Science:

    • Gastroenterology and Surgical Oncology
    • Minimally Invasive Surgery Techniques
    • Esophageal Disease Management

    Background:

    • Esophageal resections traditionally involve open procedures with significant morbidity.
    • Thoracolaparoscopic techniques offer potential for reduced trauma and improved precision in complex esophageal surgery.

    Purpose of the Study:

    • To evaluate the feasibility and outcomes of complete thoracolaparoscopic esophagectomy for benign and malignant esophageal diseases.
    • To compare thoracolaparoscopic results with traditional open surgical approaches.

    Main Methods:

    • A cohort of 14 patients underwent thoracolaparoscopic esophagectomy or subtotal resection between November 2011 and March 2014.
    • Procedures included esophagectomy with gastric tube or colon interposition, and various anastomosis techniques (neck or intrapleural).

    Main Results:

    • The mean operative time was 579 minutes with a mean blood loss of 141 ml.
    • 8 out of 14 patients experienced no postoperative complications; 6 patients had anastomotic complications, managed conservatively or with reoperation.
    • One patient with intrapleural anastomosis failure died from unrelated myocardial infarction.

    Conclusions:

    • Complete thoracolaparoscopic esophagectomy provides precise dissection, adequate lymphadenectomy, and minimal blood loss, comparable to open surgery.
    • This technique is recommended for experienced centers specializing in esophageal and thoracolaparoscopic surgery.